Diagnosis,treatment and prognosis of adrenal tumor in children
10.3760/cma.j.issn.2095-428X.2018.23.006
- VernacularTitle:儿童肾上腺区域肿瘤的诊断、治疗及预后分析
- Author:
Chenjun CHEN
1
;
Yunfei GUO
;
Geng MA
;
Zheng GE
;
Rugang LU
;
Yongji DENG
;
Lixia WANG
;
Haobo ZHU
;
Xiaojiang ZHU
;
Liqu HUANG
;
Zan WAN
;
Jun WANG
;
Jun DONG
Author Information
1. 210008,南京医科大学附属儿童医院泌尿外科
- Keywords:
Adrenal tumor;
Neuroblastoma;
Adrenocortical carcinoma;
Prognosis
- From:
Chinese Journal of Applied Clinical Pediatrics
2018;33(23):1781-1784
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the prognostic factors of adrenal tumor in children under 12 years of age. Methods A total of 90 children with 97 adrenal tumors admitted from June 2006 to August 2017 were selected in Children's Hospital of Nanjing Medical University.The age distribution,tumor type,biochemistry and tumor indicators, treatment,stage classification and prognosis were analyzed.Results There were 46 males and 44 females in 90 cases. Ages ranged from 4 days to 11 years and 1 month,with an average of (38.1 ± 31.3)months.The main clinical mani-festations were abdominal mass,fever and abdominal pain.Eighty cases (82.5%)underwent surgery,while 17 cases (17. 5%)did not.Open resection was performed in 48 cases,open partial resection in 11 cases,laparoscopic surgery in 10 cases,and just biopsy in 11 cases.The pathological examination showed 43 cases with neuroblastoma,13 cases with ganglioneuroblastoma,8 cases with ganglioneuroma,5 cases with adrenocortical carcinoma,3 cases with teratoma,1 case with pheochromocytoma,1 case with malignant rhabdoid tumor.Statistical analysis revealed that neuron－specific eno-lase(NSE)value of neuroblastoma and lactate dehydrogenase(LDH)value of cortical cancer increased significantly. The age was correlated with tumor stage,and patients had older age on stage Ⅳ.Complete resection in surgery was correlated with the stage of the tumor,as tumor in lower tumor stage seemed easier to be completely removed.Fifty－three cases (58.9%)were followed up for 2 months up to 11 years and 4 months.Forty－four cases survived and 9 ca-ses died.Higher tumor stage predicated worse prognosis.Conclusions Adrenal gland tumors need early diagnosis and active treatment.Earlier onset of age,complete surgical resection with patients have better prognosis.Complete resection of the disease was a key factor in the prognosis.
